Development of a nursing risk assessment system for adverse reactions to novel contrast agents in hepatic contrast-enhanced ultrasound
LIU Chun-xia
LUO Bao-ming
ZHOU Shang-lan
LU Yan-ying
LIU Rong-bin
TAN Min
DENG Hong
Abstract：Objective To establish a scientific and standardized nursing risk assessment system for adverse reac-tions associated with novel contrast agents used in hepatic contrast-enhanced ultrasound,aiming to guide clinical nursing evaluation and intervention.Methods A preliminary index framework for the risk assessment system was developed through literature review and expert group discussions.An expert consultation questionnaire was then designed.Fifteen ex-perts from tertiary hospitals in Guangdong,Hubei,and Zhejiang provinces participated in two rounds of Delphi consulta-tions.The experts' enthusiasm,authority,and coordination were analyzed,along with the mean importance scores,coeffi-cients of variation,and full-score rates for each indicator.Results Both rounds of expert questionnaires achieved a 100％effective response rate.The expert authority coefficients were 0.91 and 0.93,and the Kendall's coordination coeffi-cients were 0.52 and 0.64,respectively.In the second round,the mean importance scores of tertiary indicators ranged from 3.00 to 4.80,with coefficients of variation between 0.09 and 0.31 and full-score rates between 40.0％and 93.33％.The final assessment system comprised 4 primary indicators,14 secondary indicators,and 34 tertiary indica-tors.Conclusion This study developed a scientific,reliable,and systematic nursing risk assessment framework for eval-uating adverse reactions to novel contrast agents in hepatic contrast-enhanced ultrasound.The system provides a practical reference for clinical nurses to formulate targeted and evidence-based nursing strategies.
Keywords：Liver contrast-enhanced ultrasoundAdverse reactionsRisk assessmentDelphi methodNursing assessment system
Publication Date：2025-11-15
Online Publishing Date：2026-01-06(First online date of this platform, not the publication date of the document)
Pages：6( 1676-1681 )